通噎膈，开关和胃。
北沙参（三两） 荷叶（去筋净，一两） 广陈皮（浸去白，一两） 茯苓（一两） 川贝母（去心，粘
米拌炒，一两） 丹参（三两） 陈仓米（炒熟，三两） 五谷虫（酒炒焦黄，一两
共为细末。每用米饮调下二钱，日二服。
逍遥散 （见类中。
雄黄 瓜蒂 赤小豆（各一钱
共为细末。每服五分，温水调，滴入狗油数匙，服下，以吐为度。吐去膈间小虫，随用
五味异功散安之，续用逍遥散调之。
古人治痢，多用坠下之品，如槟榔、枳实、浓朴、大黄之属。所谓通因通用，法非不善
矣，然而效者半，不效者半。其不效者，每至缠绵难愈，或呕逆不食，而成败症者，比比皆
是。予为此症，仔细揣摩不舍置，忽见烛光，遂恍然有得，因思火性炎上者也，何以降下于
肠间而为痢？良由积热在中，或为外感风寒所闭，或为饮食生冷所遏，以致火气不得舒伸，
逼迫于下，里急而后重也。医者不察，更用槟榔等药下坠之，则降者愈降而痢愈甚矣。予因
制治痢散，以治痢症初起之时，方用葛根为君，鼓舞胃气上行也。陈茶、苦参为臣，清湿热
也。麦芽、山楂为佐，消宿食也。赤芍药、广陈皮为使，所谓行血则便脓自愈，调气则后重
自除也。制药普送，效者极多。惟于腹中胀痛，不可手按者，此有宿食，更佐以朴黄丸下之
若日久脾虚，食少痢多者，五味异功散，加白芍、黄连、木香清而补之。气虚下陷者，补
中益气汤升提之。若邪热秽气，塞于胃脘，呕逆不食者，开噤散启之。若久痢变为虚寒，四
肢厥冷，脉微细，饮食不消者，附子理中汤加桂温之。夫久痢必伤肾，不为温暖元阳，误事
者众矣，可不谨欤！
治疗噎膈（食管阻塞、饮食难下），开通关窍，调和胃气。
北沙参（三两） 荷叶（去除筋络，净重一两） 广陈皮（浸泡后刮去白色内层，一两） 茯苓（一两） 川贝母（去除心部，用粘米拌炒，一两） 丹参（三两） 陈仓米（炒熟，三两） 五谷虫（酒炒至焦黄，一两）
以上药物共研为细末。每次服用二钱，用米汤调服，每日两次。
逍遥散 （参见类中篇）。
雄黄 瓜蒂 赤小豆（各一钱）
以上药物共研为细末。每次服用五分，用温水调服，滴入数匙狗油，吞服，以呕吐为限度。吐出膈间的小虫后，随即使用五味异功散来安养脾胃，接着使用逍遥散来调理身体。
古人治疗痢疾，多使用具有沉降泻下作用的药物，如槟榔、枳实、厚朴、大黄之类。所谓“通因通用”（用通利的方法治疗通泄的病症），方法并非不好，然而有效者占一半，无效者也占一半。那些无效的患者，往往导致病情缠绵难愈，或者出现呕吐逆气、无法进食，从而形成败症的情况，比比皆是。我对此症仔细揣摩，不肯轻易放过，忽然看到烛光，于是恍然有所领悟，想到火性本是炎上的，为什么反而会降下于肠间而成为痢疾？大概是由于积热在中焦，或者被外感的风寒所闭塞，或者被饮食生冷所遏制，导致火气不得舒展伸张，被迫向下逼迫，从而产生里急后重（腹痛窘迫，时时欲便，肛门重坠，便出不爽）的症状。医生没有察觉，反而使用槟榔等具有沉降作用的药物进行攻下，那么下降的趋势更加严重，痢疾也就更加厉害了。因此我制定了治痢散，用于治疗痢疾初起之时，方中以葛根为君药，鼓舞胃气上行；陈茶、苦参为臣药，清除湿热；麦芽、山楂为佐药，消除宿食；赤芍药、广陈皮为使药，这就是所谓的“行血则便脓自愈，调气则后重自除”。此药普遍赠送，见效者极多。如果腹中胀痛，不可用手按压的，这是有宿食，更辅助以朴黄丸攻下它；如果日久脾虚，食少痢多的，使用五味异功散，加入白芍、黄连、木香，清补兼施；气虚下陷的，使用补中益气汤升提阳气；如果邪热秽气，堵塞在胃脘，呕吐逆气不能进食的，使用开噤散开启胃口；如果久痢转变为虚寒，四肢厥冷，脉象微细，饮食不消化的，使用附子理中汤加入桂枝温补。长期痢疾必然损伤肾阳，如果不温暖元阳，误事的人很多了，能不谨慎吗！
To treat Yige (dysphagia with esophageal obstruction and difficulty in swallowing), open the orifices, and harmonize the Stomach Qi.
Beishashen (Glehniae Radix, 3 liang) He ye (Nelumbinis Folium, removed of veins, net weight 1 liang) Guang Chenpi (Citri Reticulatae Pericarpium, soaked to remove the white pith, 1 liang) Fuling (Poria, 1 liang) Chuan Beimu (Fritillariae Thunbergii Bulbus, removed of heart, stir-fried with glutinous rice, 1 liang) Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 3 liang) Chen Cangmi (aged stored rice, stir-fried until cooked, 3 liang) Wuguchong (Phormia Metarum, stir-fried with wine until scorched yellow, 1 liang)
Grind all into a fine powder. Take 2 qian each time, mixed with rice water for administration, twice daily.
Xiaoyao San (Free and Easy Wanderer Powder) (See under "Zhong Feng" category).
Xionghuang (Realgar) Gudi (Cucumeris Trichosanthis Fructus) Chi Xiaodou (Adzuki Bean) (each 1 qian)
Grind all into a fine powder. Take 5 fen each time, mixed with warm water, add several spoons of dog oil, swallow. The treatment is considered complete when vomiting occurs. After vomiting out the small worms from the diaphragm area, subsequently use Wuwei Yigong San (Five-Ingredient Powder for Benefiting Work) to nourish and stabilize the Spleen and Stomach, followed by Xiaoyao San (Free and Easy Wanderer Powder) to regulate the body.
In ancient times, physicians treating Li Ji (dysentery) mostly used substances with descending and purgative properties, such as Binglang (Arecae Semen), Zhishi (Aurantii Fructus Immaturus), Houpo (Magnoliae Officinalis Cortex), and Dahuang (Rhei Radix et Rhizoma). This approach, known as "Tong Yin Tong Yong" (using unblocking methods to treat unblocking symptoms), was not inherently flawed; however, only half were effective, and half were ineffective. Those who were ineffective often suffered from lingering, difficult-to-cure conditions, or developed vomiting, inability to eat, leading to fatal syndromes, which were common occurrences. I pondered this syndrome carefully, unwilling to let it go, until I suddenly saw candlelight, and had an epiphany. I thought: Fire nature is ascending and flaming upwards; why does it descend to the intestines and become dysentery? It is likely due to accumulated heat in the middle jiao, or being closed by external wind-cold, or being suppressed by raw and cold food intake, causing the fire qi to be unable to expand and stretch, forcing it downward, resulting in tenesmus (urgent desire to defecate with heavy sensation in the anus). Physicians failed to observe this correctly and instead used descending drugs like Binglang, causing the descending trend to worsen and the dysentery to intensify. Therefore, I formulated Zhili San (Dysentery-Curing Powder) to treat early-stage dysentery. In this formula, Gegen (Puerariae Lobatae Radix) is the Sovereign herb, to inspire the Stomach Qi to ascend; Chentea (aged tea leaves) and Kushen (Sophorae Flavescentis Radix) are the Minister herbs, to clear damp-heat; Maiya (Hordei Fructus Germinatus) and Shanzha (Crataegi Fructus) are the Assistant herbs, to digest retained food; Chishao (Paeoniae Radix Rubra) and Guang Chenpi (Citri Reticulatae Pericarpium) are the Envoy herbs. This embodies the principle that "moving blood heals pus in stool, regulating qi eliminates tenesmus." This medicine was widely distributed, and many showed efficacy. For cases with abdominal distension and pain that cannot be pressed, indicating retained food, supplement with Puhuang Wan (Magnolia and Rhubarb Pill) to purge. For long-standing Spleen deficiency with poor appetite and frequent dysentery, use Wuwei Yigong San (Five-Ingredient Powder for Benefiting Work) added with Baishao (Paeoniae Radix Alba), Huanglian (Coptidis Rhizoma), and Muxiang (Aucklandiae Radix) to clear and tonify. For Qi deficiency with sinking, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to lift. If pathogenic heat and foul qi block the epigastrium, causing vomiting and inability to eat, use Kaijin San (Open the Thirst-Quenching Powder) to open the throat/appetite. If chronic dysentery transforms into deficiency-cold, with cold limbs, faint and thin pulse, and indigestion, use Fuzi Lizhong Tang (Aconite Decoction to Warm the Middle) added with Guizhi (Cinnamomi Ramulus) to warm. Chronic dysentery inevitably damages Kidney Yang; failing to warm the Primordial Yang leads to many errors. Can one not be cautious!